FORM 1023-EZ for HIS CROSSROADS MINISTRIES

Field Data
EIN 82-0913543
Case Number EO-2017110-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS CROSSROADS MINISTRIES
Organization’s Mailing Address 9301 HOG EYE RD NUM 311
City AUSTIN
State TX
ZIP 78724
Accounting period End 12
Primary contact name LINDA SCULLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SCULLEY
DIRECTOR AND PRESIDENT
9301 HOG EYE RD NUM 311
AUSTIN TX 78724

Officer/Director/Trustee Two

LINDA SCULLEY
DIRECTOR/VP/TREASURER
9301 HOG EYE RD NUM 311
AUSTIN TX 78724

Officer/Director/Trustee Three

BRIAN RAWSON
DIRECTOR
11906 YARBROUGH
AUSTIN TX 78748

Officer/Director/Trustee Four

CAROL RAWSON
DIRECTOR AND SECRETARY
11906 YARBROUGH
AUSTIN TX 78748

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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